Using system analysis to build a safety culture: improving the reliability of epidural analgesia

Background: A potentially dangerous situation was revealed by an incident report describing the use of an inappropriate device to administer post‐operative epidural analgesia to a patient on a surgical ward. The incident occurred in a 1200‐bed university affiliated tertiary hospital (Geneva Univers...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	Acta anaesthesiologica Scandinavica 2006-10, Vol.50 (9), p.1114-1119
Hauptverfasser:	Garnerin, P., Huchet-Belouard, A., Diby, M., Clergue, F.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult analgesia Analgesia, Epidural - adverse effects Analgesia, Epidural - instrumentation Analgesia, Patient-Controlled Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Clinical Competence Guidelines as Topic Humans Infusion Pumps Male Medical sciences Nurses Organizational Culture Pain, Postoperative - drug therapy Patient Care Team patient safety Quality Assurance, Health Care Risk Management Safety safety culture system analysis Systems Analysis
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

Schreiben Sie den ersten Kommentar!